Scotland Survey Question Title * 1. First name Question Title * 2. Surname Question Title * 3. If you or a family member are affected by spinal cord injury, are you interested in: Attending residential courses Talking to someone in a similar situation Wheelchair skills training Participating in a Scottish spinal cord injury focus group Hearing more about Back Up's work in Scotland Other (please specify) Question Title * 4. What other support would you like to see for people affected by spinal cord injury in Scotland: Regional Support Groups in rural areas More regional events in Scotland Supporting young people back into education Support with starting or returning to work Other (please specify) Question Title * 5. I can support Back Up to do more in Scotland through: Fundraising challenges or fundraising in my community Getting my company involved with fundraising Volunteering e.g. wheelchair skills trainer, mentoring Attending our black tie fundraising dinners Joining our Scottish dinner event organising committee Other (please specify) Question Title * 6. Please use this box to give additional feedback or ideas for services for people affected by spinal cord injury in Scotland Question Title * 7. Email address Question Title * 8. Postcode in Scotland Question Title * 9. We would like to contact you with information about our services and how you can support us, including ways to volunteer, take part in research, how you can donate to us and how you can get involved in our activities, including fundraising, and events. If you’d prefer NOT to receive updates from us, just tick below. Please do NOT contact me by email Done
